The Comparison Of Complications About Reflux Between Uncut Roux-en-Y And Billroth â…¡ Reconstructions After Laparoscopy-Assisted Distal Gastrectomy For Gastric Cancer

Background: Gastric cancer is the second major cause of cancer death,and accounted for about 10% all death cases of cancer.Opinions vary in the choice of the ways of reconstructions after laparoscopy-assisted distal gastrectomy for gastric cancer.During the clinical practice, we find that most of the gastric cancer in China are in progressive stage, and the majority are located in the lesser curvature near to the antrum of stomach. So,for the distal gastric resection, most cases cannot be done by Billroth Ⅰanastomosis.As a result, Billroth Ⅱand Uncut Roux-en- Y digestive tract reconstruction play a more crucial role. In the process of actual follow-up postoperative observation of Billroth Ⅱand Uncut Roux-en- Y, we found that compared with Billroth Ⅱ,while improving the condition of the alkaline reflux in stomach, the gastroesophageal reflux ratio increases in the latter group.The related literature in this aspect research still seems slightly pale, so the two kinds of digestive tract reconstructions were retrospectively analyzed in our study as a further guidance to the choice of the styles of digestive tract reconstructions after laparoscopy-assisted distal gastrectomy for gastric cancer in the future.Objective: To analyse and compare complications about reflux between Uncut Roux-en- Y and BillrothⅡreconstructions after Laparoscopy-assisted distal gastrectomy for gastric cancerMethods: By a retrospective analysis, this study analyzed and compared basic clinic data and complications about reflux between Uncut Roux-en-Y and Billroth Ⅱreconstructions after Laparoscopy-assisted distal gastrectomy for gastric cancer.Between December 2014 and December 2015,in the First Hospital of Jilin university,a total of 144 cases, who suffered from distal gastric cancer,and own completely material were accommodated.After Laparoscopy-assisted distal gastrectomy,50 of them carried on Uncut Roux-en-Y digestive tract reconstruction(group U),and 94 patients carried on BillrothⅡ reconstruction digestive tract reconstruction(group B). Perioperative data and the data of 3 months later were all collected.Results: 1.There was no significant difference between the two groups of patients’ clinical data.2. The heartburn symptom of Group U was significantly less than that of group B(p < 0.05) 3.Stomach alkaline reflux of group U was better than that of group B patients,(p < 0.05).4.Gastroesophageal reflux of group B was better than group U(p < 0.05).5.For the gain of weight in three months,there was no significant difference between the two groups,(p ﹥0.05).Conclusion: Although in the aspect of esophageal reflux, Billroth Ⅱ is better, compared with Billroth Ⅱ,Uncut Roux-en-Y digestive tract reconstruction is obviously better in heartburn symptom residual gastritis and alkaline reflux in stomach.